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. If you need help filling out this application, ask us or call 1-877-423-4746. If you have a hearing impairment, call GA Relay at 1-800-255-0135. Our services are free. What Services Do We Offer at the Division of Family and Children Services (DFCS)? DFCS offers the following services: Food Assistance.
This article contains free templates of fillable forms that are all ready to download, print, and customize.
You may qualify for a free or low-cost program even if you earn as much as $94,000 a year (for a family of 4). • Use this application to apply for anyone in your family. • Apply even if you or your child already has health coverage. You could be eligible for lower-cost or free coverage.
Application for Health Coverage & Help Paying Costs. Form Approved. OMB No. 0938-1191. You may qualify for a free or low-cost program even if you earn as much as $94,000 a year (for a family of 4). Who can use this application? Apply faster online. What you may need to apply. Why do we ask for this.
For info on applying for Medicaid, please review the attached documents. Medicaid Application - English (PDF, 456.05 KB) Medicaid Application - Spanish (PDF, 949.13 KB) Medicaid Application - Attachment A (PDF, 163.25 KB) Medicaid Application - Attachment B (PDF, 139.29 KB)
20 Ιουν 2024 · Download free Excel budget templates to manage your finances. Choose from Annual, Business, Event, Family, Monthly, Personal, Project, Student, Weekly, Simple Budget templates.